Early surgery for superficial supratentorial spontaneous intracerebral hemorrhage : a Finnish Intensive Care Consortium study

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http://hdl.handle.net/10138/320797

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Luostarinen , T , Satopää , J , Skrifvars , M B , Reinikainen , M , Bendel , S , Curtze , S , Sibolt , G , Martinez-Majander , N & Raj , R 2020 , ' Early surgery for superficial supratentorial spontaneous intracerebral hemorrhage : a Finnish Intensive Care Consortium study ' , Acta Neurochirurgica , vol. 162 , no. 12 , pp. 3153-3160 . https://doi.org/10.1007/s00701-020-04470-y

Titel: Early surgery for superficial supratentorial spontaneous intracerebral hemorrhage : a Finnish Intensive Care Consortium study
Författare: Luostarinen, Teemu; Satopää, Jarno; Skrifvars, Markus B.; Reinikainen, Matti; Bendel, Stepani; Curtze, Sami; Sibolt, Gerli; Martinez-Majander, Nicolas; Raj, Rahul
Upphovmannens organisation: HUS Perioperative, Intensive Care and Pain Medicine
Department of Diagnostics and Therapeutics
University of Helsinki
Helsinki University Hospital Area
Anestesiologian yksikkö
Neurokirurgian yksikkö
HUS Neurocenter
Clinicum
HUS Emergency Medicine and Services
Neurologian yksikkö
Department of Neurosciences
Datum: 2020-12
Språk: eng
Sidantal: 8
Tillhör serie: Acta Neurochirurgica
ISSN: 0001-6268
DOI: https://doi.org/10.1007/s00701-020-04470-y
Permanenta länken (URI): http://hdl.handle.net/10138/320797
Abstrakt: Background The benefits of early surgery in cases of superficial supratentorial spontaneous intracerebral hemorrhage (ICH) are unclear. This study aimed to assess the association between early ICH surgery and outcome, as well as the cost-effectiveness of early ICH surgery. Methods We conducted a retrospective, register-based multicenter study that included all patients who had been treated for supratentorial spontaneous ICH in four tertiary intensive care units in Finland between 2003 and 2013. To be included, patients needed to have experienced supratentorial ICHs that were 10-100 cm(3)and located within 10 mm of the cortex. We used a multivariable analysis, adjusting for the severity of the illness and the probability of surgical treatment, to assess the independent association between early ICH surgery (
Subject: Intracerebral hemorrhage
Stroke
Surgery
Neurosurgery
Outcome
Mortality
INITIAL CONSERVATIVE TREATMENT
COST-EFFECTIVENESS
CLASSIFICATION
GUIDELINES
MANAGEMENT
HEMATOMAS
OUTCOMES
STICH
3112 Neurosciences
3124 Neurology and psychiatry
3126 Surgery, anesthesiology, intensive care, radiology
Referentgranskad: Ja
Licens: cc_by
Användningsbegränsning: openAccess
Parallelpublicerad version: publishedVersion


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